Bryan Carmody

@jbcarmody.bsky.social

2323 Followers 145 Following

The Sheriff of Sodium | Pediatric nephrologist | EVMS associate professor | APD | Husband | Dad | Virginian | Advocate for medical trainees and common sense

Graphic demonstrating the percentage of positions filled by fellowship specialty in the 2025 NRMP Medicine and Pediatric Specialties Match. Cardiology, Hematology-Oncology, Gastroenterology, and Rheumatology filled 99% or more of their available positions, while Geriatric Medicine, Child Abuse Pediatrics, and Pediatric Nephrology filled 41% or less.
Screenshot of OpenEvidence investment prospectus, noting revenue of $50,000,000 with valuation of $6,100,000,000.
Graphic showing the mean and minimum passing score for USMLE Step 2 CK from 1994 to 2025. In 1994, the mean was around 200 and the passing standard was 167.
Graphic demonstrating the distribution of USMLE Step 2 CK scores in four eras: 2013-2016, 2016-2019, 2019-2022, and 2022-2025. Each year, the distribution shifts slightly rightward and becomes slightly more compressed.
Number of preference signals allowed, by specialty, in the 2025-2026 residency application cycle. Some specialties like orthopaedic surgery and urology allow 30 signals; others like pediatrics and emergency medicine only allow 5. Some specialties like dermatology, anesthesiology, radiology, and internal medicine have both gold and silver signals.
Headline: Thalamus Acquires Medicratic to Accelerate AI-Powered Innovation in Medical Education and Transform Physician Workforce Intelligence
Change to Step 2 CK Passing Standard Begins July 1, 2025. At its June 2025 meeting, the USMLE Management Committee conducted a review of the USMLE Step 2 Clinical Knowledge (CK) passing standard. Management Committee members include individuals with experience on state medical boards, medical school and residency program faculty from across the United States, practicing physicians, residents, and public members. The Committee decided that a four-point increase in the passing standard – used to determine a Pass or Fail outcome – will apply to Step 2 CK examinees testing on or after July 1, 2025. On the three-digit score scale, the passing standard will change from 214 to 218.
Two aliens sit at a dinner table. One is using a salt shaker. Alien 1: Why sprinkle minerals before ingesting? Alien 2: I enjoy sprinkled minerals. Alien 1: But this could decrease your final revolution count. Alien 2: Perhaps I enjoy fewer revolutions and more minerals.
Nervous doctor, to administrator: c-c-could I get…
ACGME Board Executive Committee Action. The ACGME… is suspending enforcement of these requirements (see specific program and institutional standards in following screenshots).
Presidential actions - reforming accreditation to strengthen higher education; executive order, April 23, 2025
“Very interesting catfish article. If I had to guess, it’s a future resident who can’t make up their mind about their rank list who heard that one service was dysfunctional and wanted to get the program’s response to that to help the student make their final rank decision.”
Screenshot of the first page of the article “To Catch a Catfish: A Cautionary Tale of Internet Unprofessionalism.” Full text link below.
Screenshot from the University of Silicon Andhra website, noting, “At present, it offers six Master of Arts, five Diploma, and 5 Certificate programs. A total of 230 students enrolled in Fall 2022 in these programs.”
Screenshot from the Liaison Committee on Medical Education website, noting applicant status for the proposed “University of Silicon Andhra School of Medicine” in the San Joaquin Valley.
Graphic from the New England Journal of Medicine demonstrating the mean salary of a first-year resident from 1968 to 2012, with values standardized to 2012 dollars. All of the points on the graphic range from ~$41,000 to ~$54,000, with values after 1983 more tightly clustered between ~$45,000 and ~$52,000.
Graphic demonstrating the interview rate at the median program in each specialty for MD applicants who signaled or did not signal the program with their application. There is a significant drop off in interview rates for non-signaled applications. In less-competitive specialties with low signal numbers (e.g., pediatrics - 5), 83% of signaled applications yielded an interview, while 40% of non-signaled applications did. In more competitive specialties with high signal numbers (e.g., neurosurgery - 25), 31% of applicants who signaled received an interview, while 1% of non-signaled applicants did.
Memorandum opinion from U.S. District Court judge Christopher Cooper dismissing Giri v. NBME.
Proposed federal legislation allowing AI bots to function as prescribers if allowed to do so by the state medical boards
Table from the Association of American Medical Colleges showing the number of total applicants from 2014 to 2024. After generally increasing from 2014 to 2020, there was a sharp peak in 2021, then a decline since.
Graphic from 2024 Charting Outcomes in the Match, showing probability of matching by number of contiguous ranks.
Graphic showing the percentage of pediatric fellowship positions that filled in the 2024 pediatric specialty match. On the high end, 98.7% of critical care positions filled; on the low end, just 33.3% of child abuse positions did.
Screenshot of announcement from the National Board of Medical Examiners: “No change to minimum passing standard for Step 1.”
Bar chart demonstrating the percentage of fellowship positions filled, by specialty, in the NRMP Fellowship Match on December 4, 2024. In cardiology, hematology-oncology, GI, and rheumatology, 99% of positions filled. In pediatric nephrology, just 37%, and in child abuse pediatrics, just 33% of positions were filled.
The 20 most common passwords from link below
Title slide for Grand Rounds at Lurie Children’s Hospital, showing an elephant, with the title Touching the Elephant - Examining and Re-Examining the Pediatric Subspecialty Shortage - the A. Todd Davis Memorial Lecture for November 22, 2024.
Disciplinary notice from the Virginia Board of Medicine describing disturbing allegations of highly inappropriate comments made by Dr. Dalton Renick. Link to disciplinary notices below.
Disciplinary notice from the Virginia Board of Medicine describing disturbing allegations of highly inappropriate comments made by Dr. Dalton Renick. Link to Board website with notice below.
2024 AAMC Debt Fact Card. The median indebtedness is $205,000. While 23% of graduates have debt >$300,000, 29% have no educational debt.
The Atlantic Ocean from across a small dune
Screenshot of Merritt Hawkins 2016 Revenue Survey, showing average revenue generated by physician type.
Screenshot from the Kaufman Hall “Physician Flash Report,” which asserts that the average physician “subsidy” topped $300,000 for the first time in Q3 of 2024. “The employment model where hospitals subsidize physician employment is broken and needs to change.”
Graphic demonstrating the number of pediatric applicants in each of the past 6 application cycles. Applications peaked in 2021 and have gone down since, with decreases not only in US MDs and DOs but also IMGs.